Tad J Wieczorek, M.D.

Primary specialty

Cytopathology PhysicianTaxonomy code 207ZC0500X

License

160676 Issued in MA

Practice address

1153 Centre St
Dept of Pathology, Faulkner Hospital
Jamaica Plain, MA 02130-3446

Phone

(617) 983-7666

Fax

(617) 983-7736

NPI assigned

Apr 17, 2006

Last updated

Dec 9, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Pathology

Education

Harvard Medical School, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Brigham and Womens Physicians Organization IncGroup PAC ID 3870405988, 2,931 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Brigham and Women Faulkner Hospital Hospital, Jamaica Plain, MA, CCN 220119
• Brigham and Women's Hospital Hospital, Boston, MA, CCN 220110
• Dana-Farber Cancer Institute Hospital, Boston, MA, CCN 220162
• Massachusetts General Hospital Hospital, Boston, MA, CCN 220071

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: wieczorek.tad.fh@direct.partners.masshiway.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Brigham & Womens Physicians Organization Inc

  • Internal Medicine Physician
  • Boston, MA
  • NPI 1033535497
  Medicare reassignment Care Compare group
• Brigham and Women's Faulkner Hospital Inc

  • General Acute Care Hospital
  • Boston, MA
  • NPI 1578677811
  NPD
• Brigham and Womens Physicians Organization Inc

  dba Dept of Faulkner Pathology

  • Clinical Pathology Physician
  • Boston, MA
  • NPI 1669794087
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Brigham & Womens Hospital, Inc.

  • General Acute Care Hospital
  • Boston, MA
  • NPI 1790717650
  Care Compare affiliation
• Brigham and Women's Faulkner Hospital Inc

  • Psychiatric Hospital Unit
  • Boston, MA
  • NPI 1033121025
  Care Compare affiliation
• Brigham and Women's Faulkner Hospital Inc

  • General Acute Care Hospital
  • Boston, MA
  • NPI 1578677811
  Care Compare affiliation
• Dana-Farber Cancer Institute, Inc.

  dba Dana-Farber Cancer Institute

  • General Acute Care Hospital
  • Boston, MA
  • NPI 1851333686
  Care Compare affiliation
• The General Hospital Corporation

  • General Acute Care Hospital
  • Boston, MA
  • NPI 1023049236
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291852800000",
    "number": "1225092075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1153 CENTRE ST",
            "address_2": "DEPT OF PATHOLOGY, FAULKNER HOSPITAL",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021303446",
            "telephone_number": "617-983-7663",
            "fax_number": "617-983-7736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1153 CENTRE ST",
            "address_2": "DEPT OF PATHOLOGY, FAULKNER HOSPITAL",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021303446",
            "telephone_number": "617-983-7666",
            "fax_number": "617-983-7736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIECZOREK",
        "first_name": "TAD",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-17",
        "last_updated": "2010-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZC0500X",
            "taxonomy_group": "",
            "desc": "Pathology, Cytopathology",
            "state": "MA",
            "license": "160676",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0145301",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Elizabeth White
• Priscilla Nancy White, LMHC
• Ronald Bruce White, M.D.
• Naomi Hart Whittlesey, PHARMD
• Christina Wiebmer
• Joseph Wigon, MSW LICSW
• Robin Chandra Wilhelmi Trusty, M.S. CCC-SLP
• Jean Wilkinson, PH.D.
• Angela Williams, MSW
• Earl Williams

• Cytopathology Physician in Jamaica Plain, MA
• Providers in Jamaica Plain, MA by specialty
• Cytopathology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.